Organization
MICHAEL G GOLDSTEIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G GOLDSTEIN M.D. (CEO/PRES)
(323) 521-1544
Entity
Organization
Contact information
Practice address
231 W VERNON AVE, 204, LOS ANGELES, CA 90037-2700
(323) 521-1544
(323) 521-1546
Mailing address
231 W VERNON AVE, 204, LOS ANGELES, CA 90037-2700
(323) 521-1544
(323) 521-1546
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G20440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20440
MEDICAL LICENSE
CA
Enumeration date
10/12/2007
Last updated
10/12/2007
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